HomeMy WebLinkAbout1 Sedgewick Circle 8ectricW.# I g� APPLICATION FOR BUILDING PERMIT
1 SEDGEWICK CIRCLE
Plumbing# /
HVAC # ` & 24379
[Date: ' o
Sprinkler# N0'
FNAL APPROVA Estimated Cost $ '7 ,
Building // 5 ESI*G:N
E RED BOXED AREAS Permit Fee $ z),0 0
Engineeri 1-2,
-1 OR PRINT ONLY Occudancy Fee $ �
] ON REVERSE SIDE
Appr.for CO. Z Total Fee o
TO BULMIG DEPARTM NT,TOWN OF SOUTH WIXS X CT GAdditional Cost) � 7
The undersigned hereby applies to do work according to the following specifications:
Job Location / 2��oLg,e W;;4 0(2 u.,� Lot No. Side of Street Zone y Q r—
a
Applicant ,11 f J c, Tel# .Z* 7664
it
Address xv
�' L L t ArG rat 06 o' Zip o - Lic#
Owner Address c—.r-F
Architect Address Shm-P
Sq.Ft.New Area: 1st Fl. "7 8 0 2nd FL S I y 3rd Fl. Total New Area 1
#Rooms #Lavatories 3 #Bathrooms 3 #Garages 2
Purpos of this permit: New ew 5t- " �Ann�-�.�i I�w�t.l rV 11'
City Water Well ❑ Septic System ❑ Sewer
Ins. H.O. S.P. Cart.V Area 56�0 Basement Garage
Approved by Date Use Group Constrtxtion Type
Rws,d 1/97
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is all d.
Zhu
Signed
c,
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Ir
Signed
5-c C—
DO NOT WRITE BELOK THIS LINE
INSPECTION COMMENTS
Location of Job: AFFIDAVIT Additional Fee S 6 0. 0 0
State of Connecticut
ss.South Windsor _
County of Hartford
ner
I l u 44 d o rw of 6R r the building erected
Coa ractor
under Permit No. 24379 issued by the Building Department of the Town of South Windsor being
duly sworn,make oath and say that the actual cost of the completed work authorized under said permit did not
exceed the most current accepted BOCA value of$ 9 o _n, 1 7
Subcribed and sworn to before me this A day of a--- A.D. 191�
Estimated Cost 8 5, 9 0 0. 0 0
Difference: S 4 , 117 . 00
otary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
97-24379-B 75,000
B01 FOOTING 06/19/97 JFH A
B02 FOUNDATION 06/23/97 JFH A
B03 FRAMING (ROUGH) 07/17/97 JFH D FLOOR FRAMING FOR 2ND FLOOR'BATH
E01 SERVICE 07/17/97 JFH A RELEASED
E03 ROUGH 07/17/97 JFH A
P03 ROUGH 07/17/97 JFH A
H03 ROUGH 07/17/97 JFH A
B04 INSULATION 07/18/97 JFH A
PO4 GAS TEST 08/06/97 JFH A
B10 FINAL 08/11/97 JFH A
97-9990-P 6,000
97-9849-H 2,000
97-14492-E 2,900
Total Est Value 85,900
Dwelling 1,560 63,835.20
Basement 780 9,672.00
Garage 460 5,704.00
Smoke Det 6 450.00
BOCA Value 90,017.16 0-6
Difference 4,117.16 A� v
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTIC
1 SEDGEWICK CIRCLE LOT_## 4 Reviewed By Bering)
MANNARINO BUILDERS INC. Date Reviewed L y prove Denied
41 OAKLAND ROAD,SOUTH WINDSOR,CT Reviewed By anning)
BP_#_24379_ Ph_#_(860) 644-9000 Date Reviewed pprove /Denied
Date Submitted 08/12/97 ***** FOR C of 0 **
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include:
Approved Denied N/A
r
V/ 1. Approved building permit plan
2. Finish grading per approved
building permit plan
+� 3. Site work; i.e. trees, shrubs,
dumpsters, required parking
4. Utility location;
a. sanitary sewer/septic system
V b. foundation drain
C. electrical & telephone
d. water
e. other
5. Sewer connection charge paid (p�2
6. Appropriate certification
V 7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No. IY 6 34-
Pavement Excavation No.
COMMENTS:
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
1 SEDGEWICK CIRCLE LOT_# 4 Reviewed B 91, 1_Jrin6A4 ineering)
MANNARINO BUILDERS INC. Date Reviewed 6 16 Q 7 Approve Denied
41 OAKLAND ROAD,SOUTH WINDSOR,CT Reviewed By lanning)
PffZma
BP_##_24379_ Ph_#_(860) 644-9000 Date Review c. Approv Denied
Date Submitted 06/16/97 ***** FOR B I DING PERM *****
In accordance with the Zoning and/or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval. The minimum requirements shall include:
Ad Denied N/A
1. Name, address & phone number of owner/applicant
D2. Name, address & phone number of plan preparer
l� D 3. Zoning Information - i.e. zone, open space,
floodway, etc.
4. Plot Plan at 1" = 40' scale
a. Subdivision reference, abutting properties, etc
Db. Easements of record
►\ C. Lot description, bearings, building lines,
distances, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
h interval where appropriate
l/ e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
f. Elevations of gravity drainage systems, sanitary
& foundation drain at the house and the street
_ g. Tentative utility location (gas, water,
�p electric, septic system, etc.)
0� h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
UYconsiderations (Plans on file w/Town Clerk)
COMMENTS:
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE 94 '7
644-2511 ext.230
Date Building Inspector Application must be printed or typed
Location of job
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 OWNER e2Ze� t/�t
or any fraction thereof /
ADDRESSC
OWNERS PHONE# �J 7' �`"7dO O
APPLICANT
0 W N S F ADDRESS :E70 e�,Tf/ ,T rip o
q<
� .:• ESTIMATED COST$ �� d
IS THIS A CONTRACT COST? ✓ 1,
a V YES NO
FEE ENCLOSED $ �?pC 4 o
�$O R.C o TYPE OF JOB:
,/"'Ori&W Installation
Alteration/Addition/Repair
Revised 11/95
9
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED -7— /o cd 4 .H O r
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS / REMOTE DISCONNECT REQUIRED?YE /NO
NUMBER OF LIGHT CIRCUITS t O NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES1 NUMBER OF OUTLETS /
0000,
NUMBER OF LIGHT FIXTURES�J
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
i
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
0�
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. �� �� DATE 7
r -
INSPECTOR D- E 74TIME Z j6:, jO
vf-
LOCATION
K INSPECTION: CODE: RESULT(D/A) :
BUILDING: 3
ELECTRICAL:
l�
PLUMBING:
HVAC:
OTHER:
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT
Application is hereby-: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Perms #
APPROVED 1540 SULLIVAN AVENUE
7 J C"_ 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
Location bf job
( � /-,..o f'
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 OWNERnTli)M V-1 6 U k(I C
or any fraction thereof _ tt ii
ADDRESS I I P�
OWNERS PHONE#
O�2 V
APPLICANT
'10M1 N S F ADDRESS -c2m Mot t n S 1�
.:
ESTIMATED COST$ (0000 .
40
C IS THIS A CONTRACT COST?
YES NO
r v CJ FEE ENCLOSED $
�� TYPE OF JOB:
`S�R•C Original Installation
Alteration/Addition/Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION YES / NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO. OF TOILETS_,5 STYLE NO.OF URINALS STYLE
NO. OF BATHTUBS / NO. OF SHOWERS NO. OF LAVATO 7 3
NO. OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO. OF CATCH BASINS NO.OF FLOOR DRAINS
NO. OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES/NO
SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR
SIZE OF DUCTS (:jEWE OR SEPTIC TANK
SIZE OF WATER MAI SIZE OF WATER PIPING&RISER
WATER HEATER
TYPE O MANUFACTURE a
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY RELIEF VALVE
TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE
TYPE MANUFACTURER
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
?o l
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. 3 `-'v9 q DATE v^ 7
l
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERN,1IT:9
Application is hereby: TOWN of SOUTH WINDSOR 9 ql-�
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE
q7 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
Location of
A �� Hof
Street No. V Street Lot No.
FEE SCHEDULE
$0 - $1,000 - $12.00 Floor Apt. No.
Over $1,000
$12.00 per$1,000 OWNER(Mf)j)0(1o0'0'j Ir
or any fraction thereof 10jY000"
ADDRESS kd
OWNERS PHONE#
�� � o
APPLICANT_J/V U
7-7 rl"W
vi N 840 ADDRESs—,,
GOD ESTDAATED COST
IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $ C
/
OR CO ME OF JOB:
,®r- ri&w installation
Alteration Addition Repair
Raised 11/95
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM /TYPE OF BUILDING
HEATING ✓ RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC —� WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION /IS ADDITIONAL RADIATION TOTAL RAD TION,
DESIGN TEMP. OUTSIDE F INSID /F DIFFERENCES F
TOTAL HEAT LOSS(BTUH)
(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
4 �
x L
V roc, v
-a t
GROSS HEATING CAPACITY (INPUT-BTUH). NET RATING (OUTPUT-BTUH)n
�y
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT GAIN(BTUH)
(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
STATE LICENSE-NO. NAME&TYPE SIGNATURE OF APPLICANT
.O PHONE N yC ' ( DATE
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DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT 16 ? E-y
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
ate Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job: �
Cj r- b/L J� ,
$0-$1,000=$13.00 Street No. Street Lot o.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
`t
APPLICANTh!j_I e Q f
APPLICANT ADDRESS Se.1 5 e- 'c- 2 j
Sd,/( ���`,•�o� g cS sZ
APPLICANT PHONE# 7
W N S OWNER z 4
0 1�-4
g Y OWNER ADDRESS
C00
C ��
` OWNER PHONE ( — y C)D I
C ESTIMATED COST$
IS THIS A CONTRACT COST? M-Ires 13 No
CJ FEE ENCLOSED$
TYPE OF JOB:
ORS C O New Installation
ration/Addition/Repair Revised 8/99
i
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUI ING:
❑� H ING SIDENTIAL
2A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT BTUH)
TYPE OF FUEL
❑ OIL—GPM OIL TANK LOCATION :❑INSIDE❑ OUTSIDE CAPACITY
❑ GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE q�°F INSIDE :26 OF DIFFERENCE c?T°F
TOTAL HEAT GAIN(BTUH HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING E MPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE--c�9 COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) RESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
cl,6
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANTA DATE S! —
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